Author Question: A client with bulimia asks you about using medication to treat her bulimia. Your response is based ... (Read 87 times)

brutforce · **on:** Jul 19, 2018

A client with bulimia asks you about using medication to treat her bulimia. Your response is based on the knowledge of which of the following?

a. Since bulimia is a behavioral problem, treating bulimia with medications is not an effective strategy.
b. Of the available selective serotonin reuptake inhibitors (SSRIs) medications, only the use of fluoxetine (Prozac) is supported by strong evidence.
c. The most effective medications are the benzodiazepine anxiolytics used to reduce panic attacks that trigger episodes of bulimia.
d. Pharmacological treatment of bulimia usually includes regularly scheduled antiemetics to prevent vomiting of stomach contents.

Question 2

A nurse using Virginia Satir's Communication Theory would be concerned with which of the following family dynamics?

a. power hierarchy
b. differentiation
c. emotional cutoff
d. circularity

enass · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Among the SSRIs, only fluoxetine (Prozac) was shown to be effective in managing bulimia. In addition to SSRIs, forms of psychotherapy have been used to treat bulimia. Cognitive behavioral therapy specifically was shown in one study to be more effective than antidepressants alone. CBT has been shown to reduce both the frequency and the severity of bulimic symptoms.

Answer to Question 2

D
A nurse using Virginia Satir's Communication Theory would be concerned with circularity. Circular communication is a predictable pattern of communication and response between two people. Because the patterns are repeated again and again, the family members are often unaware of them. For example, an angry wife criticizes her husband and the husband responds by withdrawing. This results in the wife becoming angrier and the husband becoming angry and withdrawing more.